| Type | Legal entity | [sources] | |||
|---|---|---|---|---|---|
| Name | Pair, Glenn | [sources] | |||
| Legal form | not available | [sources] | |||
| Country | United States | [sources] | |||
| NPI | 1306277629 | [sources] | |||
| Sector | Bus Owner/Exec - Mental/Behavioral Health Fac | [sources] | |||
| Status | not available | [sources] | |||
| Address | Decatur, GA 30034 | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers excluded from South Carolina's Medicaid program.
United States · SCDHHS
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